Individual provider · Type 1 NPI

Eliza Nichols, MSPAS, PA-C

Physician Assistant · New York, NY

NPI number 1174449573 Active

Practice location

1450 Madison Ave
New York, NY 10029-6508

Mailing address

150 E 42nd St Fl 5
New York, NY 10017-5612

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X036265 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1174449573

Eliza Nichols, MSPAS, PA-C's National Provider Identifier is 1174449573, issued on Jun 29, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Oct 27, 2026.